Evidence-Based Practice of Anesthesiology

Section I. Introduction

1:: Evidence-Based Practice Parameters:: The American Society of Anesthesiologists

Section II. Preoperative Preparation

2:: Update on Preprocedure Testing

3:: Is a Preoperative Screening Clinic Cost-Effective?

4:: Who Should Have a Preoperative 12-Lead Electrocardiogram?

5:: Is Routine Preoperative Pregnancy Testing Necessary?

6:: What Are the Risk Factors for Perioperative Stroke?

7:: Should We Delay Surgery in the Patient with Recent Cocaine Use?

8:: Should All Antihypertensive Agents Be Continued before Surgery?

9:: Is There an Optimal Timing for Smoking Cessation?

10:: Which Patient Should Have a Preoperative Cardiac Evaluation (Stress Test)?

11:: Should Patients with Stable Coronary Artery Disease Undergo Prophylactic Revascularization Before Noncardiac Surgery?

12:: What are the Role and Management of Percutaneous Coronary Intervention for Noncardiac Surgery?

13:: How Should We Prepare the Patient with a Pacemaker/Implantable Cardioverter-Defibrillator?

14:: When Should Pulmonary Function Tests Be Performed Preoperatively?

Section III. Perioperative Management

15:: Does the Airway Examination Predict Difficult Intubation?

16:: Is there a Best Approach for Patients with Difficult Airways:: Regional Versus General Anesthesia?

17:: What is the Optimal Airway Management in Patients Undergoing Gastrointestinal Endoscopy?

18:: Is There a Best Approach to Induction of Anesthesia in Emergent Situations?

19:: Do Inhalational Agents Have Beneficial or Harmful Effects on Ischemia-Reperfusion Injury?

20:: Does Anesthetic Choice Affect Surgical and Recovery Times?

21:: What Are the Benefits of Different Ventilatory Techniques?

22:: Is There an Optimal Perioperative Hemoglobin?

23:: When Are Platelets and Plasma Transfusions Indicated?

24:: What Drugs Decrease Postoperative Bleeding?

25:: Does Perioperative Hyperglycemia Increase Risk? Should We Have Aggressive Glucose Control Perioperatively?

26:: When and Why Should Perioperative Glucocorticoid Replacement Be Administered?

27:: Does the Choice of Fluid Matter in Major Surgery?

28:: What Works in a Patient with Acute Respiratory Distress Syndrome?

29:: What Actions Can Be Used to Prevent Peripheral Nerve Injury?

30:: What Is the Best Means of Preventing Perioperative Renal Injury?

31:: Does Nitrous Oxide Affect Outcome?

32:: Are Alpha-2 Agonists Effective in Reducing Perioperative Cardiac Complications in Noncardiac Surgery?

33:: What is the Role of Ketamine for Perioperative Management?

34:: Should Hypothermia be used Routinely After Intraoperative Cardiac Arrest?

35:: Which Are the Best Techniques for Reducing the Incidence of Postoperative Deep Vein Thrombosis?

36:: Are There Special Techniques in Obese Patients?

37:: Is There an Ideal Approach to the Patient Susceptible to Malignant Hyperthermia?

38:: What Is the Best Strategy for Prevention of Postoperative Nausea and Vomiting?

39:: How Should Beta-blockers be used Perioperatively?

40:: How Can We Prevent Postoperative Cognitive Dysfunction?

41:: Do Intensive Care Specialists Improve Patient Outcomes?

42:: Fast-Track Cardiac Anesthesia What Works Best for Safety and Efficacy?

43:: Can We Prevent Recall During Anesthesia?

44:: Are Patients with Sleep Apnea Appropriate for Ambulatory Surgery?

45:: What Criteria Should Be Used for Discharge after Outpatient Surgery?

46:: What Must I Consider in Order to Safely Anesthetize Someone in the Office Setting?

47:: Is Propofol Safe if Given by Nonanesthesia Providers?

48:: Aspiration:: Is There an Optimal Management Strategy?

Section IV. Regional Anesthesia

49:: Nonsteroidal Antiinflammatory Drugs, Antiplatelet Medications, and Spinal Axis Anesthesia

50:: DVT Prophylaxis with Heparin and Heparin-like Drugs (UH, LMWH, Fondaparinux, and Rivaroxaban) Used in Combination with Neuraxial Anesthesia and Deep Plexus Blocks

51:: Is Regional Anesthesia Appropriate for Outpatient Surgery?

52:: What is the Best Technique for Hip Surgery?

53:: Does Intraoperative Regional Anesthesia Decrease Perioperative Blood Loss?

54:: What Is the Optimal Management of Postdural Puncture Headache?

55:: Should Ultrasound Guidance Be Used for Peripheral Nerve Blockade?

56:: Should Regional Anesthesia be Used for Orthopedic Trauma Patients?

Section V. Monitoring

57:: What Is the Best Method of Diagnosing Perioperative Myocardial Infarction?

58:: Does Neurologic Electrophysiologic Monitoring Affect Outcome?

Section VI. Cardiovascular Anesthesia

59:: Is Regional Superior to General Anesthesia for Infrainguinal Revascularization?

60:: Is There a Best Technique to Decrease Blood Loss and Transfusion after Coronary Artery Bypass Grafting?

61:: Should Thoracic Epidural/Spinal Analgesia Be Used for Coronary Artery Bypass Grafting?

Section VII. Neurosurgical Anesthesia

62:: Is There a Best Technique in the Patient with Increased Intracranial Pressure?

63:: What Works for Brain Protection?

Section VIII. Obstetric Anesthesia

64:: Anesthesia for Cesarean Delivery:: Regional or General?

65:: When Should a Combined Spinal-Epidural Be Used?

66:: Does Labor Analgesia Affect Labor Outcome?

67:: Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery?

Section IX. Pediatric Anesthesia

68:: How Young Is the Youngest Infant for Outpatient Surgery?

69:: Should a Child with a Respiratory Tract Infection Undergo Elective Surgery?

70:: When Should Regional Anesthesia be Used in Pediatric Patients?

Section X. Pain Management

71:: Optimal Postoperative Analgesia

72:: Is Pre-emptive Analgesia Clinically Effective?